The Changing Climate of Medical Practice

Dorothy K. Sherer, Robert V. West, Richard A. Bienia, Herbert B. Slade, Joseph I. Golden, Willem J. de Bruine, John R. Lindquist, Roberta Berrien, Philip R. Alper, John E. Kralewski, Bryan E Dowd, Roger D Feldman

Research output: Contribution to journalLetterpeer-review


To the Editor: It is unfortunate that Dr. Berrien (Feb. 5 issue)* has lost some of the incentives to provide comprehensive health care in her practice. Has she ever considered entering into collaborative practice with a certified adult or family nurse practitioner as an alternative to another physician? This would enable her to maintain high-quality care, have more time for important medical priorities, and expand her practice. She would have the expertise of a registered nurse educated at the master's level who is experienced in primary care and who is committed to being a health educator and patient advocate.

Original languageEnglish (US)
Pages (from-to)455-457
Number of pages3
JournalNew England Journal of Medicine
Issue number7
StatePublished - Aug 13 1987

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